Provider Demographics
NPI:1396996336
Name:BEECHER, JILL MARIE (AU D)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:MARIE
Last Name:BEECHER
Suffix:
Gender:F
Credentials:AU D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 W CHERRY ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9797
Mailing Address - Country:US
Mailing Address - Phone:319-249-6925
Mailing Address - Fax:319-205-0625
Practice Address - Street 1:585 W CHERRY ST STE A
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-9797
Practice Address - Country:US
Practice Address - Phone:319-249-6925
Practice Address - Fax:319-205-0625
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000766231H00000X
MN8222231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist